Individual
MRS. SANDRA BERARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP RN
Contact information
Practice address
75 ROUTE 2, MASHANTUCKET PEQUOT INDIAN HEALTH SERVICES, LEDYARD, CT 06339
(860) 312-8000
(860) 312-8036
Mailing address
24 BALDWIN CT, UNCASVILLE, CT 06382-1833
(860) 848-7309
(860) 312-8036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
001034
CT
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
001034
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001034
APRN
CT
Enumeration date
01/08/2007
Last updated
10/26/2012
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